Active NPI
William B Cornell, MD
- Anatomic Pathology & Clinical Pathology Physician
- Brecksville, OH
National Provider Identifier
1699733147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35054168
- Practice address
- 6930 Treeline Dr
Brecksville, OH 44141 - Phone
- (440) 627-2040
- Fax
- (440) 627-2070
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35054168 | OH | Primary |
Addresses
Primary practice location
6930 Treeline Dr
Brecksville, OH 44141
Mailing address
6930 Treeline Dr Ste G
Brecksville, OH 44141
Phone (440) 627-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0851127 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35054168 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1699733147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6930 TREELINE DR STE G",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "44141",
"telephone_number": "440-627-2040",
"fax_number": "440-627-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6930 TREELINE DR",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "44141",
"telephone_number": "440-627-2040",
"fax_number": "440-627-2070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "WILLIAM",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35054168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0851127",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.